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Research Papers
How Do We Approach Quality Care for Patients from Middle Eastern Countries? A Phenomenological Study of Korean Nurses’ Experiences
Jang, Dael , Choi, Seonhwa , Hwang, Gahui , Kim, Sanghee
J Korean Acad Nurs 2024;54(3):372-385.   Published online August 31, 2024
DOI: https://doi.org/10.4040/jkan.24036
AbstractAbstract PDF
Purpose
Although more people from Middle Eastern countries are visiting South Korea for medical treatment, Korean nurses lack experience in treating them. Understanding and describing Korean nurses’ experiences can help them provide quality care to these patients by enhancing their competency in culturally appropriate care. This study described the experiences of nurses who provide care to Middle Eastern patients in clinical settings in South Korea.
Methods
We conducted a phenomenological study to describe nurses’ experience of caring for patients from Middle Eastern countries. Ten nurses with prior experience in caring for these patients were recruited from a university-affiliated tertiary hospital. Semi-structured face-to-face interviews were conducted between May 1 and June 4, 2020. The transcribed data were analyzed using Giorgi’s phenomenological method to identify the primary and minor categories representing nurses’ experiences.
Results
Four major categories (new experiences in caring for culturally diverse patients, challenges in caring for patients in a culturally appropriate manner, nursing journey of mutual agreement with culturally diverse patients, and being and becoming more culturally competent) and 11 subcategories were identified.
Conclusion
Nurses experience various challenges when caring for Middle Eastern patients with diverse language and cultural needs. However, nurses strive to provide high-quality care using various approaches and experience positive emotions through this process. To provide quality care to these patients, hospital environments and educational programs must be developed that center on field nurses and students and support them in delivering quality care while utilizing their cultural capabilities.
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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study
Chung, Su Kyoung , Kim, Jinsook , Bhandari, Pratibha
J Korean Acad Nurs 2023;53(2):145-154.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22087
AbstractAbstract PDF
Purpose
This study investigated clinical competency, COVID-19-related anxiety, coping strategies, self-efficacy, and perceived stress among graduating nursing students during the COVID-19 pandemic.
Methods
We conducted a cross-sectional survey. Participants were recruited from universities located in four major cities in South Korea. General demographic information, clinical competency, self-efficacy, perceived stress, COVID-19-related anxiety, and coping strategies were assessed using reliable questionnaires. Descriptive statistics, correlations, and multiple regression tests were used to analyze the data.
Results
The mean clinical competency, self-efficacy, perceived stress, adaptive coping, and maladaptive coping were 138.16 ± 18.34, 83.85 ±14.02, 21.37 ± 5.79, 53.15 ± 4.64, and 30.98 ± 6.73, respectively. COVID-19-related anxiety was reported by 4.3% of participants. Clinical competency was significantly positively correlated with self-efficacy (r = .44, p < .001) and adaptive coping (r = .20, p = .035) and was significantly negatively correlated with maladaptive coping (r = .20, p = .035). The predictors of clinical competency were self-efficacy (β = .434, p < .001) and adaptive coping (β = .173, p < .039), which explained 23% of the variance in clinical competency.
Conclusion
Self-efficacy and adaptive coping strategies are significant predictors of clinical competence during the pandemic. Planning and implementing various curricular and non-curricular activities to increase senior students' self-efficacy and adaptive coping strategies will help prepare competent nursing graduates for the pandemic when they enter the nursing workforce.
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Original Articles
Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
J Korean Acad Nurs 2019;49(5):601-612.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.601
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory.

Methods

The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed.

Results

The goodness-of-fit of the final model was at a good level (χ 2/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability.

Conclusion

The nurses’ clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.

Citations

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    Sun-Young Jung, Ji-Hyeon Lee
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    Won Mi Son, Jung Suk Park
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    Eunju Lee, Gyuli Baek
    CIN: Computers, Informatics, Nursing.2023; 41(12): 1016.     CrossRef
  • Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
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    Ga-Hyun Kim, Hyun-Ju Lee
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 237.     CrossRef
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A Preliminary Study on Development and Evaluation of Home Health Care Nurse Clinical Practice Program: Focused on Postoperative Orthopedic Patients
Young Sook Suh
Journal of Nurses Academic Society 1996;26(1):15-32.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.15
AbstractAbstract PDF

The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed included confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient/family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who had had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

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Comparison of Student's Clinical Competency in Different Instructional Methods for Fundamentals of Nursing Practicum
Moon Sook Yoo, Il Young Yoo, Yon Ok Park, Youn Jung Son
Journal of Korean Academy of Nursing 2002;32(3):327-335.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.3.327
AbstractAbstract PDF

PURPOSE: The main purpose of this study was to compare the clinical competency in different instructio nal methods for funda- mentals of nursing practicum, standardized patients methods story as text method ,and traditional lecture/model method. METHOD: The study was designed as a quasi-experimental, nonequivalent control group post-test design with three separate classes of sophomore students attending fundamentals of nursing classes at one baccaleureate nursing school located in metropoli tan Seoul area. Control group was taught by traditiona lecture/ model method and two experimental groups were taught by standardized patients method and story as text method. Data were collected from September, 1999 to June 2001. There were 36 students in the standardized patient method group, 38 students in story as text group, and 40 students in the control group. Data analysis was done using SPSS WINDOW 9.0. RESULT: The results showed that the standardized patients method and story as text method groups were significantly better in clinical judgement and communication skills than the traditional lecture/model method group. The standardized patients method group was significantly better in clinical nursing skills performance than two other groups. However, there was no significant difference among the three groups in student satisfaction. CONCLUSION: The standardized patients method is an effective in teaching clinical cometency for student nurses. It is necessary to explore more efficient way to develop standardized patients cases for wider areas of nursing education. Also, it is recommended to develop more research projects with many nursing programs.

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  • Effects of Intensive Clinical Training for Nursing Students in Nursing Practice on their Clinical Competence, State Anxiety, and Clinical Practice Stress
    Hyunsook Jang, Jeongsoon Lee
    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 419.     CrossRef
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    Gyu Hee Park, Soon Hee Choi
    The Journal of Korean Academic Society of Nursing Education.2016; 22(1): 63.     CrossRef
  • Effects of Writing Reflective Journal on Meta-cognition and Problem Solving Ability in Nursing Students taking a Fundamental Nursing Skills Course Applying Blended Learning
    Mi Young Jho
    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 430.     CrossRef
  • Effect of a Self-Evaluation Method Using Video Recording on Competency in Nursing Skills, Self-Directed Learning Ability, and Academic Self-Efficacy*
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  • A Study on Learning Experiences and Self-Confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students
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    Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 162.     CrossRef
  • Effects of using Standardized Patients on Nursing Competence, Communication Skills, and Learning Satisfaction in Health Assessment
    Sun Ju Choi, Mal Suk Kwon, Seon Hwa Kim, Hyeon Mi Kim, Yang Sook Jung, Geum Yi Jo
    The Journal of Korean Academic Society of Nursing Education.2013; 19(1): 97.     CrossRef
  • Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students
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  • Effects of Teaching Method using Standardized Patients on Nursing Competence in Subcutaneous Injection, Self-Directed Learning Readiness, and Problem Solving Ability
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  • Development of a Multimedia Learning DM Diet Education Program using Standardized Patients and Analysis of Its Effects on Clinical Competency and Learning Satisfaction for Nursing Students
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    Journal of Korean Academy of Nursing.2009; 39(2): 249.     CrossRef
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The Relationship Between Self-Disclosure and Clinical Competency in Nursing Students
Kyu Eun Lee, Na Sun Ha, Suk Young Kil
Journal of Korean Academy of Nursing 2000;30(3):571-583.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.571
AbstractAbstract PDF

The purpose of this study was to identify the level of self-disclosure and clinical competency and the relationships between self-disclosure and clinical competency in nursing students. The subjects were consisted of 662 nursing students from six universities and five junior colleges. The data were collected conveniently by self reporting questionnaires given to the students from September 13 to October 23, 1999. The instruments for this study were JSDQ and clinical competency measurement tool. The data were analyzed by SAS/PC program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. The results of this study are as follows : 1. The mean score for the level of self- disclosure was 3.29+/-0.98. 2. The mean score for the level of clinical competency was 3.93+/-1.00. The mean score for the dimension of skills, professional attitudes, teaching and coordinating, nursing process, interpersonal relationships were 4.09+/-0.77, 4.08+/-0.82, 3.97+/- 0.90, 3.77+/-0.76 and 3.37+/- 0.75 respectively. 3. The statistically significant difference in the score of the self-disclosure according to the educational background (F=9.42, p<.01), grade (F=5.59, p<.01), religion (F=2.68, p<.05), satisfaction of nursing major (F=14.20, p<.0001), and satisfaction of nursing practice (F=5.42, p<.01) was obtained. 4. The statistically significant difference in the score of the clinical competency according to the grade (F=32.44, p<.0001), achieved performance records (F=3.52, p<.05), satisfaction of nursing major (F=12.06, p<.0001), satisfaction of nursing practice (F=27.35, p<.0001) was obtained. 5. The data shows the positive correlations between self-disclosure and skill (r=.3231, p<.0001), between self- disclosure and teaching/coordinating (r=.1912, p<.0001), between self-disclosure and interpersonal relationship (r=.3064, p<.0001), between self-disclosure and professional attitude (r=.2789, p<.0001), between self-disclosure and nursing process (r=.2766, p<.0001).

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  • The Development of a Specific Quality of Life Scale for Hypertensive Patients: Methodological Study
    Ho Jin Kim, Gab Sun Song
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    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2018; 30(4): 1223.     CrossRef
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    In-Young Cho
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(6): 3635.     CrossRef
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Clinical Competency for Directing of Registered Nurses's National Examination: focused on Fundamental, Medical-Surgical, Psychiatric, women's health, community, Pediatric, and Administrative Nursing
Boon Han Kim, SoYaJa Kim, Jeong Seop Lee, Young Ran Tak, Hee Soon Kim, Ee Soon Choi, Kyoung Rim Shin, Kyoung Sook Choi, Gui Boon Kim, Gwang Joo Kim, So Woo Lee, Kem Soon Kim, Sook Ja Lee, Yun Hee Kim, Kyoung Hea Lee, Young Sook Jeong, Ji Ho Song, Jeong Ho Pak
Journal of Korean Academy of Nursing 1998;28(4):1075-1087.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.1075
AbstractAbstract PDF

For producing large numbers of professional nurses who could manage 21th century's human health, it is necessary to review the direction of registered nursed' national examination which evaluates the nursing education and is granted a licence. For adapting to social expectation of the nurse, we have to nurture the nurses' problem solving capability in clinical setting. Seven divisions of Korean Academy of Nursing suggested clinical competency according to their categories. This paper was presented in the workshop for setting up direction of registered nurses' national examination. We expect that this paper would be more refine and confirm through reviewing subdivisions' learning objectives and discussing clinical minimum level of competence contents with clinical leaders.

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  • Development and Application of Integrated Nursing Practice Program preceded Role-play related to Clinical Communication Situation
    Seo-Young Kang, You-Jin Lim
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(5): 3037.     CrossRef
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    Eun-Kyung Kim, Se Young Kim, Myun Sook Jung, Keum Seong Jang, Jinhyun Kim, Jong Kyung Kim, Young Mee Kim, Eun Jun Park, Ki Kyong Kim, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2011; 17(2): 238.     CrossRef
  • Student Experience and Satisfaction with Clinical Nursing Practice in Women's Health Nursing
    Yunmi Kim, Nami Chun, Eun Hee Lee, In Sook Cho, Sukhee Ahn, Jeung-Im Kim, Myung Haeng Hur, Sook-Hee Lee, Hae-Kyung Lee, Chae Weon Chung, Nam Mi Kang, Hae Won Kim
    Korean Journal of Women Health Nursing.2011; 17(3): 225.     CrossRef
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The Effects of Education on Breast Self-Examination Practices
Kyung Ock Choi, Yeon Ok Suh
Journal of Korean Academy of Nursing 1998;28(3):718-728.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.3.718
AbstractAbstract PDF

Breast self-examination is the most effective and easiest way for women to increase the responsible consciousness about their health. The purpose of this study was to test the variables impacted to promote breast self-examination practice. The research design used in this study was a nonequivalent control group of a non-synchronized design. The sample that was assembled consisted of 124 women. A purposive sample consisted of 124 omen. Each subject was given to assessed on the following the demographic data relate to the breast self-examination, knowledge of self-examination, accuracy, in performing self-examination, self-efficacy about breast cancer and breast self-examination, and the number of subjects who found a mass. The result of this study may be summarized as follows : 1. To examine the theoretical model fit to the data, chi square test statistics and goodness of fit index were identified(x2=2.30, df=2, GFI=0.99, AGFI=0.94 RMSR=0.02, NFI=0.99, NNFI=0.99, Critical Number=439). 2. The direct effects of education of breast self- examination were knowledge, self-efficacy, accuracy, number finding a mass. But the indirect effect of education in breast self-examination was frequency of breast self-examination. 3. Knowledge, as direct paths to the breast self-examination practices, was removed in the theoretical model. The parsimonious best fit model included self-efficacy, accuracy, the number finding mass, frequency of breast self-examination practices. 4. The final model produced a chi-square=5.58(p=0.35) with df=5, and GFI=0.99 AGFI=0.94, NFI=0.03, NFI=0.99, NNFI=0.99, CN=339 indicating very a good fit. Based on the result of this study, education of breast self-examination is very effective for increasing the competency of the breast self-examination through the knowledge and self-efficacy. Resources to promote self-examination may be helpful to increase the frequency of self-examination because self-efficacy is a direct effort on it. These findings suggest the need t develop nursing strategy to promote the self- efficacy of breast self-examination.

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  • Effects of an Education Program using a Narrative Approach for Women with Breast Cancer
    Myungsun Yi, Young Mi Ryu, Jieun Cha
    Perspectives in Nursing Science.2014; 11(1): 39.     CrossRef
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    SoMi Park, ChaeWeon Chung, Barbara B. Cochrane
    Oncology Nursing Forum.2013; 40(6): E382.     CrossRef
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    Myungsun Yi, Eun Young Park
    Journal of Advanced Nursing.2012; 68(5): 1100.     CrossRef
  • Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women
    Hea Kung Hur, So Mi Park, Chang Hee Kim, Jong-Ku Park, Sang Baek Koh, Gi Yon Kim
    Korean Journal of Women Health Nursing.2009; 15(1): 54.     CrossRef
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Analysis of RN-BSN Students' Clinical Nursing Competency
Jung Tae Son, Myonghwa Park, Hye Ryoung Kim, Woo Sook Lee, Kasil Oh
Journal of Korean Academy of Nursing 2007;37(5):655-664.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.655
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate RN-BSN students' clinical nursing competency in order to establish baseline data for developing nursing competency based clinical education for RN-BSN students.

Method

A survey of 1,453 RN-BSN students from 21 nursing schools was conducted using a self administered questionnaire.

Result

The mean score of the clinical nursing competency was 2.93. The scores for competency were shown as 2.91 for nursing management, 2.94 for developing professionalism & legal implementation, 2.95 for critical thinking, 2.96 for teaching & leadership, and data collection, basic nursing care, and communication were above 3.00. The items perceived as insufficient competency were physical examination and observation & monitoring in data collection, cardiopulmonary resuscitation, psycho-social care, spiritual care, hospice in basic nursing care, application of knowledge and theory, formulating nursing diagnosis, nursing care planning in critical thinking, education material development, leadership, delegation in teaching and leadership, analysis of organization, planning, infection control, role & job description, evaluation of nursing activities in nursing management, quality improvement, and research in developing professionalism and legal implementation.

Conclusion

This study will contribute to developing a nursing competency based on clinical education for RN-BSN students who have various education needs and clinical backgrounds.

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    Hanna Lee, Eun-Jun Park
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  • The development and evaluation of a pediatric nurse preceptor education program in a children’s hospital
    Nam-Ju Cho, Kyung-Sook Bang, Na-Rae Jung, Eun-Chul Kim
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  • Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital
    Mira Lee, Jiyoung Kim, Boyeon Kim, Yooyun Park, Jiyoo Han, Seunghee Lee, Hyunju Lee
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 124.     CrossRef
  • The development and evaluation of a pediatric nurse education program to improve nursing competency for newly graduated nurses in a children’s hospital
    Hae-kyung Shin, Hyo-yeong Kim, Hyun-Jung Kim, Min-kyung Kim, Hyun-joo Shin, Hoo-yun Lee, Jee-hee Han, Hye-jung Lee
    The Journal of Korean Academic Society of Nursing Education.2022; 28(2): 179.     CrossRef
  • A study to assess the knowledge regarding competency programme on cardio-pulmonary resuscitation of adult among the para medical students of selected paramedical college of, Hapur (U.P.)
    Manish K. Goyal
    INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2017; : 1.     CrossRef
  • Clinical Competence and Organizational Socialization according to Communication Style of Preceptors as Perceived by New Nurses*
    Young Choon Park, Hyoung Sook Park
    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(1): 42.     CrossRef
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    Mi Yeong Mun, Seon Young Hwang
    Journal of Korean Academy of Nursing Administration.2015; 21(1): 43.     CrossRef
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    Young Ok Yang, Minju Kim, Kyung‐Yeon Park, Jin‐Hyang Yang
    International Journal of Nursing Practice.2015; 21(6): 831.     CrossRef
  • Effects of Family Nursing Practicum Using Role Play on Emotional Intelligence, Communication Ability, and Family Nursing Performance of Nursing Students
    Eunok Park
    The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 656.     CrossRef
  • The Mediating Effect of Professionalism in the Relationship between Clinical Competence and Field Adaptation in Newly Graduated Nurses
    Young-Soon Kim, Kyung-Yeon Park
    Journal of Korean Academy of Nursing Administration.2013; 19(4): 536.     CrossRef
  • Turnover intention of graduate nurses in South Korea
    Haejung LEE, Yeonjung LIM, Hee Young JUNG, Youn‐Wha SHIN
    Japan Journal of Nursing Science.2012; 9(1): 63.     CrossRef
  • Predictors of the Clinical Competence in New Graduate Nurses
    Youn-Wha Shin, Haejung Lee, Yeonjung Lim
    Journal of Korean Academy of Nursing Administration.2010; 16(1): 37.     CrossRef
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Development of Objectives in Nursing Clinical Education based on the Nursing Core Competencies
Miwon Kim
Journal of Korean Academy of Nursing 2006;36(2):389-402.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.389
AbstractAbstract PDF
Purpose

The purpose of this study was to set up a Nursing Core Competencies required for staff nurses and to set up Objectives for Nursing Clinical Education based on the Nursing Core Competencies. The objectives in this study are to be achieved ultimately through clinical practice because it is a common avenue of work and the basic objective regardless of the education system and curriculum.

Method

A nursing Core Competencies were established by literature review and verified by 15 experts. Nursing Clinical Education Objectives were established by literature review and analysis, and a survey for validity using a five point Likert scale was given to 257 nursing professors, 503 head-nurses, 509 staff nurses who had less than 3 years clinical experience in 34 general hospitals and 738 senior student nurses from 81 nursing colleges.

Result

Nine nursing core competencies were set up. In addition 39 Objectives for each of the nursing clinical core competencies were set up.

Conclusion

In conclusion, this study will contribute to professional nursing education to provide comprehensive nursing care by applying knowledge to nursing practice to achieve the Nursing Core Competency as a professional nurse.

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A Preliminary Report on the Differences in the Perceived Impacts of Undergraduate Bioscience Knowledge on Clinical Practice Among Korean RNs
Myoung Ae Choe, Choi-Kwon Smi, Kyung Ja Song
Journal of Korean Academy of Nursing 2003;33(4):464-470.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.4.464
AbstractAbstract PDF
Purpose

Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing.

Methods

The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea.

Results

The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working.

Conclusion

Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.

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Construction of the Addiction Prevention Core Competency Model for Preventing Addictive Behavior in Adolescents
Hyun Sook Park, Sun Young Jung
J Korean Acad Nurs 2013;43(6):714-725.   Published online December 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.6.714
AbstractAbstract PDF
Purpose

This study was done to provide fundamental data for the development of competency reinforcement programs to prevent addictive behavior in adolescents through the construction and examination of an addiction prevention core competency model.

Methods

In this study core competencies for preventing addictive behavior in adolescents through competency modeling were identified, and the addiction prevention core competency model was developed. It was validated methodologically.

Results

Competencies for preventing addictive behavior in adolescents as defined by the addiction prevention core competency model are as follows: positive self-worth, self-control skill, time management skill, reality perception skill, risk coping skill, and positive communication with parents and with peers or social group. After construction, concurrent cross validation of the addiction prevention core competency model showed that this model was appropriate.

Conclusion

The study results indicate that the addiction prevention core competency model for the prevention of addictive behavior in adolescents through competency modeling can be used as a foundation for an integral approach to enhance adolescent is used as an adjective and prevent addictive behavior. This approach can be a school-centered, cost-efficient strategy which not only reduces addictive behavior in adolescents, but also improves the quality of their resources.

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    Hyun Sook Park, Sun Young Jung
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Transcultural Self-efficacy and Educational Needs for Cultural Competence in Nursing of Korean Nurses
Sun-Hee Kim
J Korean Acad Nurs 2013;43(1):102-113.   Published online February 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.1.102
AbstractAbstract PDF
Purpose

This study was done to investigate the level of transcultural self-efficacy (TSE) and related factors and educational needs for cultural competence in nursing (CCN) of Korean hospital nurses.

Methods

A self-assessment instrument was used to measure TSE and educational needs for CCN. Questionnaires were completed by 285 nurses working in four Korean hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data.

Results

Mean TSE score for all items was 4.54 and score for mean CCN educational needs, 5.77. Nurses with master's degrees or higher had significantly higher levels of TSE than nurses with bachelor's degrees. TSE positively correlated with English language proficiency, degrees of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The regression model explained 28% of TSE. Factors affecting TSE were degree of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN.

Conclusion

The results of the study indicate a need for nurse educators to support nurses to strengthen TSE and provide educational program for TSE to provide nurses with strategies for raising interests in cultural diversity and successful experiences of cultural congruent care.

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Outcomes-based Curriculum Development and Student Evaluation in Nursing Education
Hesook Suzie Kim
J Korean Acad Nurs 2012;42(7):917-927.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.917
AbstractAbstract PDF
Abstract Purpose

A curriculum development model is presented to examine the processes necessary to develop new programs or evaluate existing programs within the philosophy of outcomes-based education in nursing, especially in the context of accreditation. The philosophy of outcomes-based education is to produce individuals who can demonstrate the evidence of competencies in designated areas of education. For nursing education, this means competencies in performing the role of professional nursing as defined by the profession and social needs at the beginning level upon completing a nursing program.

Methods

A curriculum development model has been developed analytically based on the literature and experiences.

Results

A 10-step process framework incorporating the tenets of outcomes-based nursing education is illustrated.

Conclusion

This curriculum development framework can be applied in developing new educational programs in nursing or to evaluate and revise existing programs in anticipation of the accreditation process that is moving with a full force in such countries as Korea.

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Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses
Yun Hee Kim, Keum Seong Jang
J Korean Acad Nurs 2011;41(2):245-255.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.245
AbstractAbstract PDF
Purpose

This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses.

Methods

An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program.

Results

The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138).

Conclusion

The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.

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Development of the Competency Model for Prevention of Adolescent Risk Behavior
Hyun Sook Park, Sun Young Jung
J Korean Acad Nurs 2011;41(2):204-213.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.204
AbstractAbstract PDF
Purpose

This study was done to identify fundamental data on competency reinforcement programs to prevent adolescent risk behavior by developing and examining a competency model.

Methods

In this study, competences on prevention of adolescent risk behavior were identified through competency modeling, and a competency model was developed and tested for validity.

Results

Competences for prevention of adolescent risk behavior defined by the competency model included the following: self-control, positive mutual understanding between parents and adolescents, and positive connectedness with peer group. Validation of the competency model showed the model to be appropriate.

Conclusion

The competency model for prevention of adolescent risk behavior through competency modeling is expected to be the foundation of an integral approach to enhance competency in adolescents and prevent adolescent risk behavior. This kind of approach can be a school-centered, cost-efficient strategy, which not only reduces adolescent risk behavior but also improves quality of adolescent resources.

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    Myungah Chae, Kihye Han
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    Yang-Ju Tak
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    Hyun Sook Park, Sun Young Jung
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    Hyun Sook Park, Sun Young Jung, Eun Jin Kim
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    Jeong-Soo Kim
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A Study on Participation in Clinical Decision Making by Home Healthcare Nurses
Se Young Kim
J Korean Acad Nurs 2010;40(6):892-902.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.892
AbstractAbstract PDF
Purpose

This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making.

Methods

A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.

Results

Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses.

Conclusion

In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.

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Effects of Core Competency Support Program on Depression and Suicidal Ideation for Adolescents
Hyun Sook Park
J Korean Acad Nurs 2009;39(6):851-859.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.851
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of a core competency support program on depression and suicidal ideation in adolescents.

Methods

A quasi-experimental design was employed in this study. Participants for the study were high school students, 27 in the experimental group and 29 in the control group. Data were analyzed using the SPSS/WIN. 14.0 program with χ2 test, t-test, and ANCOVA.

Results

Participants in the core competency support program reported decreased depression scores significantly different from those in the control group. Participants in the core competency support program reported decreased suicidal ideation scores, also significantly different from those in the control group.

Conclusion

The core competency support program was effective in decreasing depression and suicidal ideation for adolescents. Therefore, this approach is recommended as a suicide prevention strategy for adolescents.

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    Hyun Sook Park, Sun Young Jung, Eun Jin Kim
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    Hee Sook Kim, Young Sun Chae, Young Joo Bae
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Development of a Multimedia Learning DM Diet Education Program using Standardized Patients and Analysis of Its Effects on Clinical Competency and Learning Satisfaction for Nursing Students
Kyung Sun Hyun, Hyun Sook Kang, Won Ock Kim, Sunhee Park, Jia Lee, Sohyune Sok
J Korean Acad Nurs 2009;39(2):249-258.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.249
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a multimedia learning program for patients with diabetes mellitus (DM) diet education using standardized patients and to examine the effects of the program on educational skills, communication skills, DM diet knowledge and learning satisfaction.

Methods

The study employed a randomized control posttest non-synchronized design. The participants were 108 third year nursing students (52 experimental group, 56 control group) at K university in Seoul, Korea. The experimental group had regular lectures and the multimedia learning program for DM diet education using standardized patients while the control group had regular lectures only. The DM educational skills were measured by trained research assistants.

Results

The students who received the multimedia learning program scored higher for DM diet educational skills, communication skills and DM diet knowledge compared to the control group. Learning satisfaction of the experimental group was higher than the control group, but statistically insignificant.

Conclusion

Clinical competency was improved for students receiving the multimedia learning program for DM diet education using standardized patients, but there was no statistically significant effect on learning satisfaction. In the nursing education system there is a need to develop and apply more multimedia materials for education and to use standardized patients effectively.

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